<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title></title>
<script src="common.js"></script>
</head>
<body>
		<div class="panel panel-primary">
			<div class="panel-heading">
				<h3 class="panel-title">申请单信息</h3>
			</div>

			<div class="panel-body">
				<form id="Business">
					<table class="table table-bordered">
					<tbody>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								报送机构：<span style="color:red;">*</span>
							</td>
							<td colspan="5">
    							<input style="width: 200px;" type="text" class="form-control" id="org" placeholder="请选择报送机构">
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								拖带计划：<span style="color:red;">*</span>
							</td>
							<td colspan="5">
    							<textarea class="form-control" rows="2" name="towingcontent" placeholder="请输入拖带计划"></textarea>
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								拖轮：<span style="color:red;">*</span>
							</td>
							<td colspan="5">
								<input type="text" class="form-control" name="workshipname" placeholder="请输入拖轮">
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								被拖物：<span style="color:red;">*</span>
							</td>
							<td colspan="5">
								<input type="text" class="form-control" name="towingname" placeholder="请输入被拖物">
							</td>
						</tr>
						<!-- <tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								启拖时间：<span style="color:red;">*</span>
							</td>
							<td>
								<input type="date" class="form-control" name="worktime" placeholder="请选择启拖时间">
							</td>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								使用信号：<span style="color:red;">*</span>
							</td>
							<td>
								<input type="text" class="form-control" name="usesignal" placeholder="请输入使用信号">
							</td>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								拖带长度（米）：<span style="color:red;">*</span>
							</td>
							<td>
								<input type="text" class="form-control" name="towinglength" placeholder="请输入拖带长度">
							</td>
						</tr> -->
						<!-- <tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								拖带方式：<span style="color:red;">*</span>
							</td>
							<td>
								<input type="text" class="form-control" name="towingtype" placeholder="请输入拖带方式">
							</td>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								拖带航速（节）：<span style="color:red;">*</span>
							</td>
							<td colspan="3">
								<input type="text" class="form-control" name="towingspeed" placeholder="请输入拖带航速">
							</td>
						</tr> -->
						<tr>
							<!-- <td style="width:130px; text-align: right; background-color: #eee; ">
								作业单位：<span style="color:red;">*</span>
							</td>
							<td>
								<input type="text" class="form-control" name="workunitname" placeholder="请输入作业单位">
							</td> -->
							<td style="width:130px; text-align: right; background-color: #eee; ">
								联系人：
							</td>
							<td>
								<input type="text" class="form-control" name="workcontactperson" readonly="readonly">
							</td>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								联系电话：
							</td>
							<td>
								<input type="text" class="form-control" name="workcontactphone" readonly="readonly">
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								其他需要说明的情况：
							</td>
							<td colspan="5">
    							<textarea class="form-control" rows="3" name="remark" placeholder="请输入其他需要说明的情况"></textarea>
							</td>
						</tr>
						<!-- <tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								起始、终点及主要转向点位置：
							</td>
							<td colspan="5">
    							<textarea class="form-control" rows="2" name="towingcontent" placeholder="起始、终点及主要转向点位置"></textarea>
							</td>
						</tr> -->
					</tbody>
					</table>
					
	            </form>
			</div>
		</div>

</body>
</html>